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Risk Adjustment Medical Coding Specialist (CPC & CRC Required) -Telecommuter Job in Philadelphia, Pennsylvania

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Job Title: Risk Adjustment Medical Coding Specialist (CPC & CRC Required) -Telecommuter

Employer:AmeriHealth Caritas
Skills:CPC,CRC,Risk Adjustment,Medical Record Abstraction
Specialties:Risk Adjustment, CDPS/HCC/ICD10 Medical Record Abstraction, ICD 10 Proficiency, Medicaid, Medicare
Required Certifications:CRC,CPC
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location: Philadelphia 19113, PA, US
Date Posted:12/23/2020

The Medical Coding Specialist is responsible to abstract and code diagnosis information and/or medical conditions documented in physician office medical records using CMS, ICD 10 and/or Department defined criteria and guidelines. The Coding Specialist will receive and review medical records electronically and document ICD-10 codes or discern and apply appropriate error codes affecting completion of abstraction using computer software. The Medical Coding Specialist is responsible for meeting average daily production goals on all first level reviews while maintaining a minimum 95% accuracy rate on a consistent basis. Three to five years including: a minimum of two years abstracting and coding medical records in a production environment for retrospective and prospective risk adjustment diagnosis modification • Required: Successful completion of at least one AHIMA or AAPC certification program with achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Required: ICD-10 Proficiency validation. Required: Certified Risk Adjustment Coder (CRC) credential.


Lemay Harkins, CPMA, CPC, CRC, CMA
Manager, Risk Adjustment Coding Quality
Corporate Risk Adjustment Program
The AmeriHealth Caritas Family of Companies
Fax - (215) 863-5694

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